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在旧社会骨关节结核是骨科常见病。新中国成立后 ,由于人民健康及卫生状况的根本好转 ,结核病的发生率曾大幅度下降。近年来随着免疫性疾病的增长 ,结核病死灰复燃 ,呈明显的上升趋势。同时由于结核杆菌耐药菌株的不断增多 ,以及结核病变的变异 ,也给骨关节结核病的早期诊断与治疗带来新的困难。骨科医生对这一新的变化应给予充分认识和重视。目前我国骨关节结核病的现状如何 ?在新的条件下 ,骨关节结核的治疗是否仍要遵循过去的治疗原则 ?关于脊柱结核外科治疗 ,特别是内固定应用的适应证 ,以及微创外科在脊柱结核治疗的应用前景等问题 ,本期刊登了相关文章 ,并特邀请了有关专家就上述问题进行论述与讨论 ,供同道们参考
In old society, bone and joint tuberculosis is a common disease of orthopedics. After the founding of New China, the incidence of tuberculosis has dropped significantly due to the fundamental improvement of people’s health and sanitation. In recent years, with the increase of immune diseases, the resurgence of tuberculosis showed a clear upward trend. At the same time, the increasing number of drug-resistant strains of Mycobacterium tuberculosis and the variation of tuberculosis also bring new difficulties to the early diagnosis and treatment of osteoarticular tuberculosis. Orthopedic surgeons should fully understand and attach importance to this new change. At present, the current status of bone and joint tuberculosis in our country? Under the new conditions, the treatment of osteoarticular tuberculosis still have to follow the principles of the past? Surgical treatment of spinal tuberculosis, especially the indications for internal fixation, and minimally invasive surgery in the spine Tuberculosis treatment of the application prospects and other issues, this issue published articles, and specially invited experts to discuss and discuss the above issues for fellow reference